Exploring pain

Therapy was rough today. In fact, it hurt like hell. And this is going to be a very long post explaining why.

I told Karen that she needed to be the leader, because if left to my own devices I tend to wander, especially if I dread the topic of the day. So today we jumped back into the trauma therapy and continued to read the first section I'd written about.

Now, this first section only covers from the point I found out about Mom's cancer to the point where I got on a plane to fly home.  There is a lot more geography to cover, hills and valleys and even fruited plains (truly — there were clover fields between Mom's house and the cancer center that we watched go from green to greener to magenta to ... mowed, and I didn't manage to get a photograph, even though I passed those fields five days a week). Given such a small section of the whole, it seems reasonable to think that there could be only a small amount of emotional trauma to discover. Even as I read through what I'd written, I felt little emotion ... until near the end when I spoke of the fear I felt. That's when I began to weep.

I expected that, from our last session doing trauma therapy. Weep a little, recover a little. Before we began, I grabbed a tissue because I knew I'd need it.

Then Karen began working me deeper into my experience and my feelings from that time, almost a year ago. I went through a second tissue and started on a third. She asked about my mom and about our relationship and meaningful conversations we'd had. We laughed at one or two of my stories.

I had no idea how deep we could go, how far back emotions can connect and resonate. We reached the topic of how I feel with Mom gone, how mothers can be anchors, which mine was for me, and so on. What came to mind for me was what happened from time to time when I was a child. 

Did you ever wander off in a store as a child? Did your parents panic when they didn't find you, or did you? I had a tendency to stop to look at something more closely, or to keep going when my parent(s) stopped. Eventually, I'd look up and not see my parents. A touch of panic would grab me right away. I'd look in the next couple of aisles and not see them, then the real panic would set in. I never called out, I never cried, I just felt dread and fear squeeze my insides as if wringing out a wet cloth. 

I always found them. They would be looking at something and had no idea that I'd gone "missing." They'd even tease me about worrying. "We're here," they'd say. "We wouldn't leave without you." But I'd always end up doing and feeling the same thing.

This panic went deep. Even within the past few years, if I lost track of my friends in a store, I'd feel the panic and look for them. This sense of being lost and alone generally led me to stay close to them, whether what they were looking at interested me or not. In fact, that behavior has become routine for me. If I am in a crowded situation with someone, I will hold onto a piece of their clothing, if I cannot hold their hand, so I don't get lost.

"So how do you feel now," asked Karen. "Now that your family is all gone?" All the fear and the sense of isolation and panic and the knowledge that my fear I would end up alone has been completely validated surged up and out of me, first in words then in tears and finally in sobs that shook me so I could barely breathe — I don't know how long that lasted. I do know I went through two more tissues.

I knew this work was going to be difficult, and I knew I would cry. I did not know that I would actually sob my heart out in this woman's office; I have only done that in front of one person ever in my life (at least in my memory). I hate feeling this much pain, I hate crying, and I particularly hate sobbing where my body shakes and I can't keep noise from coming out of my mouth — the part of me that stands aside and observes always comments on how stupid those noises sound. I hate them. Doing this in front of another person simply added to the intensity and distress.

We talked me down and I was calm and tear-free when I left. I even took a walk at the park. But I'm going to have to figure out a different strategy: I also went to the grocery store because I needed a few things. Unfortunately, not only do I not manage lunch before my appointment, I also feel a sense of need for comfort after pouring out my tears. I bought goodies. And ate them all. Even if I'm burning off calories by crying and by walking, they aren't enough to balance out the comfort foods.

After an intensely emotional event, I generally move to a phase of "reduced affect" where I feel and display very little emotion. I have a polite and civilized aspect, I think. Given enough of these events over time to think about them, I've concluded that the follow-up phase functions both as a self-protective mechanism and a control mechanism. When I experience such intense emotions, I fear that I will lose control completely, and then what?  Therefore, after such events, my mind and body shut down to limit me and protect me from that intensity for a little while so I can recover. After today, I wouldn't be surprised if I shut down for the next week.

Cognitive therapy has nothing on trauma therapy. Nothing.